| NPI | 1538487012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC3322) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 83475) |
| Enumeration Date | 2010-05-09 |
| Last Update Date | 2023-01-17 |