| NPI | 1457774259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 83194) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2014001218) |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2019-12-02 |