| NPI | 1689271124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CO LPCC.0023111) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 95447) |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2026-02-26 |