| NPI | 1396452249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 89642) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0022393) |
| Enumeration Date | 2022-10-31 |
| Last Update Date | 2026-06-23 |