| NPI | 1326365040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 80658) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OK 5703) |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2020-08-17 |