| NPI | 1467216507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 90674) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: KS 04590) |
| Enumeration Date | 2024-02-08 |
| Last Update Date | 2024-02-08 |