| NPI | 1336799550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 82552) |
| 101YP2500X Counselor, Professional (Licence: PA PC017222) | |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2024-07-30 |