| NPI | 1366968075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 73921) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 73921) |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2019-05-08 |