| NPI | 1669128856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 86745) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC016066) |
| Enumeration Date | 2022-02-25 |
| Last Update Date | 2026-01-30 |