| NPI | 1013683150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 82441) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: 1138704) |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2021-08-18 |