| NPI | 1235943192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 8107) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 98103) |
| Enumeration Date | 2025-02-03 |
| Last Update Date | 2025-02-27 |