| NPI | 1659069839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 92571) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TN 5423) |
| Enumeration Date | 2023-04-26 |
| Last Update Date | 2025-04-03 |