| NPI | 1407544406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 90799) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR R9059) |
| Enumeration Date | 2023-04-27 |
| Last Update Date | 2025-01-15 |