| NPI | 1558750869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 72909) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 3482) |
| Enumeration Date | 2015-01-10 |
| Last Update Date | 2023-03-28 |