| NPI | 1073266177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 85151) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0017979) |
| Enumeration Date | 2022-01-28 |
| Last Update Date | 2024-05-17 |