| NPI | 1811361959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 6872) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 81850) |
| Enumeration Date | 2015-11-29 |
| Last Update Date | 2025-06-26 |