| NPI | 1780771709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 18704) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 8383) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2007-09-18 |