| NPI | 1154155984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 91983) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 205267) |
| Enumeration Date | 2024-08-26 |
| Last Update Date | 2024-08-26 |