| NPI | 1760627442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 699828) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KS 46026) |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2008-12-09 |