| NPI | 1740789155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 100592) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2017023507) |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2026-02-04 |