| NPI | 1407321607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 84942) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2021-04-30 |