| NPI | 1679230569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701010775) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 98290) |
| Enumeration Date | 2021-11-26 |
| Last Update Date | 2025-10-29 |