| NPI | 1205523792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA APC000880) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional (Licence: TX 83942) | |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2025-02-19 |