| NPI | 1194183236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 5800) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 71630) |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2025-07-10 |