| NPI | 1063163756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 9593) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 82762) |
| Enumeration Date | 2022-01-13 |
| Last Update Date | 2024-09-24 |