| NPI | 1417737008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WI 10643-125) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 82422) |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2023-10-02 |