| NPI | 1649597543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 62585) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: TX 00096858) |
| Enumeration Date | 2010-05-01 |
| Last Update Date | 2010-05-01 |