| NPI | 1922715135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 91394) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: VA 0701011862) |
| Enumeration Date | 2022-10-28 |
| Last Update Date | 2024-01-09 |