| NPI | 1538539911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 8357) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 92291) |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2024-10-23 |