| NPI | 1578852398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NE 3856) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX 68556) |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2025-02-02 |