| NPI | 1205373545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 77104) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC PRC14856) |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2022-07-21 |