| NPI | 1407550486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0019278) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 84675) |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2023-12-19 |