| NPI | 1255688982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 84997) |
| Additional Taxonomies | 101Y00000X Counselor |
| 247200000X Technician, Other | |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2023-12-06 |