| NPI | 1740796135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 73095LPC) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 2433DCC) |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2020-09-01 |