| NPI | 1275060139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 73338) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 13011) |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2026-04-29 |