| NPI | 1952611576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 4125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 60013) |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2024-03-04 |