| NPI | 1689450298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 97218) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MT 57320) |
| Enumeration Date | 2023-09-07 |
| Last Update Date | 2025-09-11 |