| NPI | 1023994167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 95109) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: 618814) |
| Enumeration Date | 2025-08-13 |
| Last Update Date | 2025-08-13 |