| NPI | 1831117225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 19240) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: FL TPMC171) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2024-01-27 |