| NPI | 1033457817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 77794) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2012041492) |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2019-08-07 |