| NPI | 1548754013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 78170) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2022-03-24 |