| NPI | 1730495508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 64076) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA 013858) |
| 101YP2500X Counselor, Professional (Licence: SD 20874) | |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2024-04-06 |