| NPI | 1497377311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 98472) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 83708) |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2025-08-24 |