| NPI | 1134198781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 62632) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AR P0210041) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2021-12-14 |