| NPI | 1083156541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA 009218) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX 16842) |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2023-03-27 |