| NPI | 1477916914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 75055) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C5615) |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2021-02-16 |