| NPI | 1801187281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 78339) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MS 1584) |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2018-02-23 |