| NPI | 1902244007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 70944) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 13325) |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2024-05-31 |