| NPI | 1285043968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 1835) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 70098) |
| 101YP2500X Counselor, Professional (Licence: LA 4151) | |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2020-11-13 |