| NPI | 1194060434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YS0200X Counselor School (Licence: TX 1245389) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 65480) |
| 101YP2500X Counselor Professional (Licence: TX 65480) | |
| 101YP2500X Counselor Professional (Licence: VA 0701007809) | |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2024-03-08 |