| NPI | 1174957658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 5335-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 15341) |
| 101YP2500X Counselor, Professional (Licence: GA 001830) | |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2017-05-05 |