| NPI | 1659771848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 5715) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 17760) |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2019-06-14 |