| NPI | 1770594624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 13891) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OK 10521) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2023-03-27 |