| NPI | 1174032692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: UT 6242363-6004) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2024-03-06 |