| NPI | 1619329141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 5481) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 82930) |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2026-03-25 |