| NPI | 1730862459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CO 0019523) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 72168) |
| Enumeration Date | 2023-08-09 |
| Last Update Date | 2023-08-17 |