| NPI | 1023685898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 81094) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: 81094) |
| Enumeration Date | 2021-06-09 |
| Last Update Date | 2023-01-18 |