| NPI | 1124422134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 72204) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 72204) |
| 101Y00000X Counselor (Licence: GA LPC014679) | |
| 101Y00000X Counselor (Licence: FL TPMC3412) | |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2026-04-16 |