| NPI | 1598483653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 89857) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2022-08-16 |
| Last Update Date | 2024-03-25 |