| NPI | 1659006401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC014646) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 95752) |
| Enumeration Date | 2022-07-17 |
| Last Update Date | 2026-01-27 |