| NPI | 1104202316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 73211) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 5252) |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2023-03-08 |