| NPI | 1962085118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 89480) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AL 04675) |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2023-11-13 |