| NPI | 1679058267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 77335) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: 00121188) |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2018-09-28 |