| NPI | 1003363326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 93535) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701006556) |
| Enumeration Date | 2016-09-02 |
| Last Update Date | 2024-01-08 |