| NPI | 1578207148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: 84292) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 84292) |
| Enumeration Date | 2022-04-20 |
| Last Update Date | 2022-06-25 |