| NPI | 1669849287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX LPC#76761) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA LPC6046) |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2024-03-27 |