| NPI | 1689032302 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 75346)  | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 15891)  | 
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2016-02-09 | 
| Last Update Date | 2025-07-31 |