| NPI | 1437760238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 78074) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ 22632) |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2025-10-03 |