| NPI | 1073385019 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 78363)  | 
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 78363)  | 
| Enumeration Date | 2023-10-24 | 
| Last Update Date | 2024-07-25 |