| NPI | 1588183966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 69771) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 0021036) |
| 225C00000X Rehabilitation Counselor (Licence: TX 69771) | |
| Enumeration Date | 2017-09-16 |
| Last Update Date | 2025-01-09 |