| NPI | 1356474951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 60545) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX 60545) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2022-09-13 |