| NPI | 1912671835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MO 2021025249) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX 81629) |
| Enumeration Date | 2021-08-04 |
| Last Update Date | 2021-08-04 |