| NPI | 1790106235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 75721) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 12696) |
| Enumeration Date | 2013-12-31 |
| Last Update Date | 2017-02-27 |