| NPI | 1215515358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2020032808) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 16925) |
| 101YP2500X Counselor, Professional (Licence: TX 92594) | |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2026-05-04 |