| NPI | 1356744072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 67743) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 67443) |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2020-01-23 |