| NPI | 1598346595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 87732) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CO LPC.0017054) |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2024-12-07 |