| NPI | 1033870415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 83239) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 832239) |
| Enumeration Date | 2022-01-06 |
| Last Update Date | 2022-06-06 |