| NPI | 1558985325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 80432) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 15087) |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2025-05-14 |