| NPI | 1902293152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 68114) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: 68114) |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2023-09-08 |