| NPI | 1417571829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 79427) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 10618-125) |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2026-04-09 |