| NPI | 1881723328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 19654) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 4439) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2018-03-06 |