| NPI | 1487384889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 78806) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 78806) |
| Enumeration Date | 2022-06-16 |
| Last Update Date | 2023-04-14 |