| NPI | 1689256596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 82109) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2021-04-21 |