| NPI | 1356722912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 70748) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 70748) |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2026-04-02 |