| NPI | 1124364146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 67817) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC22562) |
| Enumeration Date | 2012-12-19 |
| Last Update Date | 2026-06-23 |