| NPI | 1700110152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 83374) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2009027397) |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2023-11-27 |