| NPI | 1730707555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 75367) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC013971) |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2024-03-22 |