| NPI | 1316713928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ 14501) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 89844) |
| Enumeration Date | 2023-11-27 |
| Last Update Date | 2023-11-27 |