| NPI | 1083378590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WA LH61505514) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 83084) |
| Enumeration Date | 2021-10-30 |
| Last Update Date | 2025-12-21 |