| NPI | 1043843873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 80718) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 80718) |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2021-12-15 |