| NPI | 1861639270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO LPC#0011714) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX LPC#61699) |
| 101YP2500X Counselor Professional (Licence: TX 61699) | |
| Enumeration Date | 2009-01-08 |
| Last Update Date | 2014-01-10 |