| NPI | 1215427331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 75836) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2023-09-28 |