| NPI | 1396328886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 81959) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 81959) |
| Enumeration Date | 2021-05-03 |
| Last Update Date | 2022-05-18 |