| NPI | 1891231775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 7214) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 76808) |
| Enumeration Date | 2017-01-16 |
| Last Update Date | 2019-07-06 |