| NPI | 1144678780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 6740) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 100147) |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2026-03-11 |