| NPI | 1538932843 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 85306) | 
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 85306) | 
| Enumeration Date | 2023-10-30 | 
| Last Update Date | 2023-10-30 |