| NPI | 1023429750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 69738) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 69738) |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2022-01-26 |