| NPI | 1891245270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0015282) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 73187) |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2023-07-31 |