| NPI | 1073942223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 18141) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 69549) |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2023-07-13 |