| NPI | 1043505951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 63143) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0014989) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2024-10-15 |