| NPI | 1114792264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 90081) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 12511-125) |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2026-04-15 |