| NPI | 1386957017 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YP2500X Counselor, Professional | 
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX CCC#100-11324) | 
| Enumeration Date | 2010-07-22 | 
| Last Update Date | 2023-09-27 |