| NPI | 1568830883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 16533) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 69762) |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2024-05-30 |