| NPI | 1811324288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 14867) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 1620) |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2015-01-28 |