| NPI | 1558836098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 82216) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MS 2297) |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2023-04-27 |