| NPI | 1588049951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 74564) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 0013894) |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2022-02-06 |