| NPI | 1598047482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 71148) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 71148) |
| 101YP2500X Counselor, Professional (Licence: IL 178.004361) | |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2026-07-20 |