| NPI | 1992187405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 74359) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 180007872) |
| 101YP2500X Counselor Professional (Licence: FL MH12768) | |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2017-03-01 |