| NPI | 1821305707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 64013) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 0010457) |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2010-11-14 |