| NPI | 1922387190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701011243) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX 18419) |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2023-11-08 |