| NPI | 1609405307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 81322) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 81322) |
| Enumeration Date | 2020-04-04 |
| Last Update Date | 2021-10-12 |