| NPI | 1508376112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 003174) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701012124) |
| 101YP2500X Counselor, Professional (Licence: TX 9084) | |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2023-04-22 |