| NPI | 1801332028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 73508) |
| Additional Taxonomies | 101YS0200X Counselor School |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2017-01-11 |