| NPI | 1376363671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701014029) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 93799) |
| Enumeration Date | 2024-10-12 |
| Last Update Date | 2024-10-12 |