| NPI | 1306455571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 19733) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: LA 3773) |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2020-07-23 |