| NPI | 1952018053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 83784) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 8545) |
| Enumeration Date | 2022-10-31 |
| Last Update Date | 2023-05-31 |