| NPI | 1851886899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 76790) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 76790) |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2021-12-23 |