| NPI | 1740987759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 86211) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC017238) |
| Enumeration Date | 2023-02-09 |
| Last Update Date | 2024-05-31 |