| NPI | 1487983367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: FL MH5223) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 63853) |
| 101YP2500X Counselor, Professional (Licence: UT 10460723-6004) | |
| Enumeration Date | 2009-12-23 |
| Last Update Date | 2018-04-23 |