| NPI | 1023459187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 69464) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC4175) |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2024-07-04 |