| NPI | 1548035116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 92949) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 0022962) |
| Enumeration Date | 2023-11-23 |
| Last Update Date | 2025-10-16 |