| NPI | 1174008700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 013832) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 67319) |
| Enumeration Date | 2018-09-29 |
| Last Update Date | 2026-04-29 |