| NPI | 1073178844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 84550) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2020005295) |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2022-04-18 |