| NPI | 1407499411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 79314) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 0016889) |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2024-04-03 |