| NPI | 1417726415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 92292) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 0022926) |
| Enumeration Date | 2024-01-01 |
| Last Update Date | 2026-03-18 |