| NPI | 1790182087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 65676) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2021-09-23 |