| NPI | 1750511093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 91430) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MO 2008003159) |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2024-05-22 |