| NPI | 1447337829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C6625) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 20231) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2024-01-03 |