| NPI | 1194473447 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 91034)  | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TN 5807)  | 
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2022-03-15 | 
| Last Update Date | 2025-05-12 |