| NPI | 1730887530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 016575) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 85724) |
| Enumeration Date | 2023-02-21 |
| Last Update Date | 2026-05-07 |