| NPI | 1265972806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 73040) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 10792) |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2025-01-07 |