| NPI | 1891564647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NY 72-091192) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 107956) |
| Enumeration Date | 2023-12-21 |
| Last Update Date | 2023-12-21 |