| NPI | 1740966696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 92004) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OR R9677) |
| Enumeration Date | 2023-06-26 |
| Last Update Date | 2024-09-24 |