| NPI | 1831819812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 64508) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 0000011) |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2022-08-31 |