| NPI | 1861436271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN 1512) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 15132) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2011-03-29 |