| NPI | 1174357024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 76286) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 76286) |
| Enumeration Date | 2024-08-30 |
| Last Update Date | 2025-04-03 |