| NPI | 1730873746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC017269) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 85373) |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2025-08-12 |