| NPI | 1962242495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 94982) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701013393) |
| Enumeration Date | 2024-05-31 |
| Last Update Date | 2024-05-31 |