| NPI | 1225281348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 63514) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 63514) |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2022-06-01 |