| NPI | 1386411601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 89033) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NJ 37PC01065200) |
| Enumeration Date | 2023-12-06 |
| Last Update Date | 2024-10-26 |