| NPI | 1053759324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 69389) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 69389) |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2019-01-19 |