| NPI | 1992162812 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 72360) | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 72360) | 
| 101Y00000X Counselor (Licence: TX 723602) | |
| Enumeration Date | 2016-01-22 | 
| Last Update Date | 2024-03-18 |