| NPI | 1033514062 |
|---|---|
| Former Name | AUDRA JOY INGRAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 69473) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 69473) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2023-05-30 |