| NPI | 1861756819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MO 2012014720) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 76198) |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2023-07-10 |