| NPI | 1336067487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 94619) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 0023612) |
| Enumeration Date | 2026-07-07 |
| Last Update Date | 2026-07-07 |