| NPI | 1790445526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0016819) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 80023) |
| Enumeration Date | 2021-12-21 |
| Last Update Date | 2021-12-21 |