| NPI | 1932706785 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 80975)  | 
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 80975)  | 
| Enumeration Date | 2020-10-05 | 
| Last Update Date | 2020-10-05 |