| NPI | 1437582848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 84303) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701008554) |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2021-11-09 |