| NPI | 1508562513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 86018) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID 7571962) |
| Enumeration Date | 2023-02-01 |
| Last Update Date | 2025-07-03 |