| NPI | 1679158950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 80906) |
| Additional Taxonomies | 101YS0200X Counselor School |
| Enumeration Date | 2021-03-17 |
| Last Update Date | 2021-03-17 |