| NPI | 1659393080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 19619) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AK #446) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2023-11-15 |