| NPI | 1528829553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 93277) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 534) |
| Enumeration Date | 2024-01-17 |
| Last Update Date | 2024-01-17 |