| NPI | 1619395076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 68906) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 68906) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2023-03-24 |