| NPI | 1962870261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC A14248) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 68555) |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2019-03-22 |