| NPI | 1730577081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: UT 8171367-6004) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2024-09-11 |