| NPI | 1588037832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 67960) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX 67960) |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2021-01-20 |