| NPI | 1962023192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 405300000X Prevention Professional (Licence: TX 20100134711) |
| Enumeration Date | 2020-04-28 |
| Last Update Date | 2020-04-28 |