| NPI | 1467108746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 87543) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2021007167) |
| Enumeration Date | 2022-02-25 |
| Last Update Date | 2023-12-01 |