| NPI | 1215448980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 74488) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX 73165) |
| Enumeration Date | 2017-10-20 |
| Last Update Date | 2023-11-30 |