| NPI | 1740888742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 79699) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0024320) |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2026-08-12 |