| NPI | 1780610329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 2206) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 15313) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2007-07-08 |