| NPI | 1811536303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AK 154248) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 86690) |
| 101YP2500X Counselor, Professional (Licence: SC 7908) | |
| Enumeration Date | 2019-12-31 |
| Last Update Date | 2022-02-24 |