| NPI | 1730230178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX LPC 13546) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX LBSW 26395) |
| Enumeration Date | 2007-01-14 |
| Last Update Date | 2016-10-10 |