| NPI | 1649470188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 16976) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: HI 516) |
| 101YP2500X Counselor, Professional (Licence: TX 63156) | |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2021-09-16 |