| NPI | 1568221356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0021575) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 87932) |
| Enumeration Date | 2024-03-15 |
| Last Update Date | 2026-08-19 |