| NPI | 1528274404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 83599) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional (Licence: WI 4762-125) | |
| 101YP2500X Counselor, Professional (Licence: ID LPC-7607) | |
| 101YP2500X Counselor, Professional (Licence: MI 6401019488) | |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2023-08-22 |