| NPI | 1376426783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR R12136) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 98816) |
| Enumeration Date | 2025-07-31 |
| Last Update Date | 2026-01-08 |