| NPI | 1588273742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 78244) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 78244) |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2026-01-26 |