| NPI | 1104599356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C7098) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 77785) |
| Enumeration Date | 2021-07-25 |
| Last Update Date | 2024-01-10 |