| NPI | 1689017907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 94828) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OK 10120) |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2024-11-12 |