| NPI | 1407173560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 74613) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 17684) |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2024-10-24 |