| NPI | 1669431607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AR P0708041) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AR A0501004) |
| 101Y00000X Counselor (Licence: TX 61521) | |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2014-04-30 |