| NPI | 1568712347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 67203) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2026-06-24 |