| NPI | 1851601769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: UT 7739728-6004) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0005530) |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2021-02-05 |