| NPI | 1912431602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA 7382) |
| 101Y00000X Counselor (Licence: TX 93583) | |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2025-07-06 |