| NPI | 1871680892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 13519) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 13519) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2011-09-08 |