| NPI | 1164239505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 95538) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL TPMC7477) |
| 101Y00000X Counselor (Licence: OK 13332) | |
| Enumeration Date | 2024-12-17 |
| Last Update Date | 2026-05-20 |