| NPI | 1689333247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0015902) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 85526) |
| Enumeration Date | 2021-12-10 |
| Last Update Date | 2021-12-16 |