| NPI | 1952867392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 90880) |
| Additional Taxonomies | 247200000X Technician, Other (Licence: RBT-16-26255) |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2023-02-03 |