| NPI | 1497249882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 96257) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: TX 330403) |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2026-07-24 |