| NPI | 1851022115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 88900) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 7505) |
| Enumeration Date | 2022-06-17 |
| Last Update Date | 2022-06-17 |