| NPI | 1053421131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P1402017) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 19658) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2019-05-09 |