| NPI | 1689353807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: GA 006951) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 71406) |
| 101Y00000X Counselor (Licence: CA 4856) | |
| Enumeration Date | 2023-07-14 |
| Last Update Date | 2023-07-14 |