| NPI | 1144941014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 89715) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC-21218) |
| Enumeration Date | 2022-09-08 |
| Last Update Date | 2024-02-08 |