| NPI | 1730355108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 0489) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 20130) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2023-08-15 |