| NPI | 1841647138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 68930) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 93533) |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2016-05-17 |