| NPI | 1023710993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2025010376) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 88083) |
| Enumeration Date | 2023-03-21 |
| Last Update Date | 2025-04-07 |