| NPI | 1538513270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 72485) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2025-04-03 |