| NPI | 1205355260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 78375) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: TX 00230818) |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2022-07-21 |