| NPI | 1770824013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 68501) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 68501) |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2015-10-31 |