| NPI | 1326587098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 75143) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2021-11-06 |