| NPI | 1831655711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 83818) |
| Additional Taxonomies | 247200000X Technician, Other (Licence: RBT-18-55987) |
| Enumeration Date | 2019-02-15 |
| Last Update Date | 2022-08-31 |