| NPI | 1518399682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 69786) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2024-08-20 |