| NPI | 1780250837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 84912) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0020501) |
| Enumeration Date | 2021-05-30 |
| Last Update Date | 2024-04-02 |