| NPI | 1164053377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 78589) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: PA 473506) |
| 101YS0200X Counselor, School (Licence: AL RDH-0117-6228) | |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2020-01-28 |