| NPI | 1487810396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AR P0706030) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX 61024) |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2024-08-29 |