| NPI | 1215589809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 83989) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPCC.0016787) |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2021-04-07 |