| NPI | 1962989160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2022008202) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 77931) |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2024-03-19 |