| NPI | 1356942569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 84668) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 84668) |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2022-12-27 |