| NPI | 1164263679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 93569) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 93569) |
| Enumeration Date | 2024-06-06 |
| Last Update Date | 2025-07-01 |