| NPI | 1124840939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 87360) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 101YP2500X Counselor, Professional (Licence: TX 87360) | |
| Enumeration Date | 2024-10-31 |
| Last Update Date | 2024-11-17 |