| NPI | 1184038416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 68965) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: 68965) |
| Enumeration Date | 2014-06-14 |
| Last Update Date | 2021-01-27 |