| NPI | 1649449760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 19406) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701004224) |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2010-10-21 |