| NPI | 1619446549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0016690) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VT 068.0134870TELE) |
| 101YP2500X Counselor, Professional (Licence: TX 75964) | |
| Enumeration Date | 2018-11-20 |
| Last Update Date | 2023-07-31 |