| NPI | 1689959629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ 23514) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 69440) |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2025-01-03 |