| NPI | 1760153589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701010349) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 87082) |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2026-01-08 |