| NPI | 1629794946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPCC.0020129) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 90077) |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2022-10-18 |