| NPI | 1386409811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 77452) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CA 17682) |
| Enumeration Date | 2024-02-14 |
| Last Update Date | 2025-03-13 |