| NPI | 1124754387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ 22990) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 82409) |
| Enumeration Date | 2022-07-28 |
| Last Update Date | 2025-02-06 |