| NPI | 1316625486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 96296) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MS 2997) |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2025-07-09 |