| NPI | 1043599525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TN 4294) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX 67879) |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2019-02-14 |