| NPI | 1689160475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 8257) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 74772) |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2025-02-08 |