| NPI | 1699440420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 2657) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 16622) |
| 101YP2500X Counselor, Professional (Licence: TX 16633) | |
| 163W00000X Registered Nurse (Licence: LA 109969) | |
| Enumeration Date | 2021-08-13 |
| Last Update Date | 2021-08-13 |