| NPI | 1134594328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 83340) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: TX 83340) |
| Enumeration Date | 2015-12-14 |
| Last Update Date | 2024-06-12 |