| NPI | 1699517003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0020541) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 87083) |
| Enumeration Date | 2024-06-07 |
| Last Update Date | 2024-06-07 |