| NPI | 1922676089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 6213) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 19419) |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2021-06-15 |