| NPI | 1669054128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 81209) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ 22566) |
| Enumeration Date | 2021-04-24 |
| Last Update Date | 2025-01-23 |