| NPI | 1740035716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 90491) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: LA 00278994) |
| Enumeration Date | 2024-04-22 |
| Last Update Date | 2024-04-22 |