| NPI | 1174860217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C2897) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 63787) |
| Enumeration Date | 2013-01-09 |
| Last Update Date | 2017-10-02 |