| NPI | 1255055588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 101074) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AZ 21343) |
| Enumeration Date | 2022-09-29 |
| Last Update Date | 2026-01-12 |