| NPI | 1386288165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 16395) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 97074) |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2026-03-11 |