| NPI | 1154922433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 97549) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NE 2538) |
| 101YP2500X Counselor, Professional (Licence: MO 2022035185) | |
| 101YP2500X Counselor, Professional (Licence: IA 127142) | |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2026-03-02 |