| NPI | 1366186033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701012422) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 101YP2500X Counselor Professional (Licence: TX 88399) | |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2023-04-27 |