| NPI | 1740962513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 98514) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 9669) |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2025-06-28 |