| NPI | 1316321938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 5529) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 21229) |
| 101YP2500X Counselor, Professional (Licence: TX 87353) | |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2025-08-26 |