| NPI | 1821614348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 80776) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 80776) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2020-06-20 |
| Last Update Date | 2025-07-11 |