| NPI | 1770206062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 87292) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2015002495) |
| Enumeration Date | 2022-09-21 |
| Last Update Date | 2022-09-21 |