| NPI | 1639724115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 78042) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2019-08-02 |