| NPI | 1679194310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR p2403005) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 94841) |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2024-05-03 |