| NPI | 1912414038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AK 154675) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 77865) |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2020-06-18 |