| NPI | 1912490491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P2202006) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 76546) |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2022-10-03 |