| NPI | 1598582983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 84090) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ME PC7747) |
| Enumeration Date | 2024-09-25 |
| Last Update Date | 2024-09-30 |