| NPI | 1962568410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 81099) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional (Licence: TX 14490) | |
| 101YP2500X Counselor, Professional (Licence: OK 4666) | |
| 101YP2500X Counselor, Professional (Licence: OK 953) | |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2023-01-19 |