| NPI | 1851628457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 69426) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 3518) |
| Enumeration Date | 2009-11-03 |
| Last Update Date | 2014-09-05 |