| NPI | 1619576634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 83856) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 6397) |
| 101YP2500X Counselor, Professional (Licence: 631818) | |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |