| NPI | 1568070886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 83653) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL TPMC7712) |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2026-05-24 |