| NPI | 1043682990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 95029) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC006131) |
| 101YP2500X Counselor, Professional (Licence: KS PC006131) | |
| 101YP2500X Counselor, Professional (Licence: MO 2019024182) | |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2024-07-27 |