| NPI | 1790025872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AK 157410) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 70404) |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2023-03-09 |