| NPI | 1487258240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 77130) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 77310) |
| Enumeration Date | 2020-11-23 |
| Last Update Date | 2020-11-23 |