| NPI | 1821378860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX CCC#100-11087) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: TX CCC#100-11087) |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2011-08-22 |