| NPI | 1871351924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 93112) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 0021387) |
| Enumeration Date | 2024-03-12 |
| Last Update Date | 2024-03-12 |