| NPI | 1497163273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 68495) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: 68495) |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2025-07-20 |