| NPI | 1265707251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 66340) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 66340) |
| 251S00000X (Licence: TX 66340) | |
| Enumeration Date | 2012-03-09 |
| Last Update Date | 2023-05-25 |