| NPI | 1841732526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 66826) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: TX 66826) |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2022-09-16 |