| NPI | 1326807132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 89883) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ 21234) |
| Enumeration Date | 2024-03-14 |
| Last Update Date | 2024-03-14 |