| NPI | 1669940136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2014022275) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 93674) |
| Enumeration Date | 2018-11-02 |
| Last Update Date | 2024-02-13 |