| NPI | 1629799135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 88937) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ID LPC-9496) |
| Enumeration Date | 2022-09-05 |
| Last Update Date | 2023-05-25 |