| NPI | 1922457407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0013643) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 71983) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2021-06-29 |