| NPI | 1235617044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 7787) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 94981) |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2024-11-04 |