| NPI | 1760926158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 83353) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC7179) |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2023-07-26 |