| NPI | 1922406057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 65314) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NV CP0126) |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2015-12-22 |