| NPI | 1770861387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 16957) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX 98967) |
| Enumeration Date | 2011-07-31 |
| Last Update Date | 2011-07-31 |