| NPI | 1710210372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 76217) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C2347) |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2023-08-08 |