| NPI | 1356683270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: UT 12917173-6004) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WY PPC-732) |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2023-05-12 |