| NPI | 1396055711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN 4195) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 84626) |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2020-11-05 |