| NPI | 1205493426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 99677) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 14922) |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2025-11-19 |