| NPI | 1578022679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 74224) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OK 12385) |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2024-10-04 |