| NPI | 1972234474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 74975) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MS 981) |
| Enumeration Date | 2022-06-23 |
| Last Update Date | 2022-06-23 |