| NPI | 1558935841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 79897) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ 22670) |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2024-05-01 |