| NPI | 1306265319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0014903) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 67617) |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2024-01-24 |