| NPI | 1952137507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OK 12279) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX 88667) |
| Enumeration Date | 2024-09-10 |
| Last Update Date | 2024-09-10 |