| NPI | 1447085246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID 8561375) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 16990) |
| Enumeration Date | 2024-09-03 |
| Last Update Date | 2026-08-22 |