| NPI | 1407506959 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 80600) | 
| Additional Taxonomies | 101YP2500X Counselor, Professional | 
| Enumeration Date | 2022-03-28 | 
| Last Update Date | 2025-07-30 |