| NPI | 1679888796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 78946) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2023-02-02 |