| NPI | 1710614029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 89168) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 04537) |
| Enumeration Date | 2022-08-05 |
| Last Update Date | 2025-10-14 |