| NPI | 1851026256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 203166) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 79388) |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2022-07-19 |