| NPI | 1871121178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 95162) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701008959) |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2024-08-13 |