| NPI | 1467831057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 70971) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 70971) |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2021-01-31 |