| NPI | 1548613052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 75391) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 75391) |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2024-04-04 |