| NPI | 1265974364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 65262) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2024-03-29 |