| NPI | 1043349582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 85366) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00596300) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2021-04-27 |