| NPI | 1376895375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX 75792) |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2024-05-28 |