| NPI | 1366830143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 70029) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 70029) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2015-01-02 |
| Last Update Date | 2024-09-11 |