| NPI | 1205539715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 90966) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 909633) |
| Enumeration Date | 2023-03-23 |
| Last Update Date | 2023-05-30 |