| NPI | 1306109988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: UT 332660-6004) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2021-10-06 |