| NPI | 1720391121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 66274) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 50928) |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2010-07-14 |