| NPI | 1053177758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 94356) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2024-02-21 |
| Last Update Date | 2024-04-24 |