| NPI | 1790249860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 70594) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 70593) |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2019-01-23 |