| NPI | 1851379697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 80848) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 759) |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2021-03-24 |