| NPI | 1932570850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 8371) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 91535) |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2025-02-11 |