| NPI | 1770946444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 68510) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 00111838) |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2018-05-15 |