| NPI | 1346802683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 16738) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 77650) |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2023-03-21 |