| NPI | 1710998133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 19793) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ 2561) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2008-01-16 |