| NPI | 1487214771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 93538) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC11314) |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2024-02-13 |