| NPI | 1629583620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 0782) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 73702) |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2025-07-08 |