| NPI | 1629689237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 79423) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 8779) |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2024-05-31 |