| NPI | 1164923389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 73848) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 73948) |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2018-02-22 |