| NPI | 1124586169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 15284) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM 0183791) |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2025-04-27 |