| NPI | 1124781992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 7429) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 90273) |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2022-11-14 |