| NPI | 1306551189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 19186) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 90068) |
| Enumeration Date | 2023-01-17 |
| Last Update Date | 2025-04-14 |