| NPI | 1063255685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701013636) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 98805) |
| Enumeration Date | 2024-06-13 |
| Last Update Date | 2026-04-01 |