| NPI | 1821172677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 16824) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-07 |