| NPI | 1255126728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 89590) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0022160) |
| Enumeration Date | 2025-04-14 |
| Last Update Date | 2025-04-30 |