| NPI | 1386859460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 66269) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 3810) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2022-01-25 |