| NPI | 1356426357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 19544) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 276) |
| 101YP2500X Counselor, Professional (Licence: MO 2003032135) | |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2019-01-09 |