| NPI | 1871142356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 78294) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 78294) |
| Enumeration Date | 2019-09-08 |
| Last Update Date | 2019-09-09 |