| NPI | 1982247771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 85878) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC011826) |
| Enumeration Date | 2019-10-24 |
| Last Update Date | 2024-11-21 |