| NPI | 1942675285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 80887) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 11884) |
| Enumeration Date | 2015-12-12 |
| Last Update Date | 2022-10-05 |