| NPI | 1437763836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 86062) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 53) |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2022-02-03 |