| NPI | 1922742048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 96405) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701011365) |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2025-02-10 |