| NPI | 1851477327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 6102) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 18742) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2012-09-07 |