| NPI | 1790896751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OK 0042) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OK 0048) |
| 101Y00000X Counselor (Licence: TX 9832) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |