| NPI | 1760702054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 2984) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 64125) |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2011-12-17 |