| NPI | 1912059031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 19633) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID LCPC-4792) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2011-08-09 |