| NPI | 1952139578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 94530) |
| Additional Taxonomies | 101YS0200X Counselor School (Licence: MN 1010436) |
| Enumeration Date | 2024-07-24 |
| Last Update Date | 2024-07-24 |