| NPI | 1770205403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 84233) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 0019444) |
| 101YP2500X Counselor, Professional (Licence: WI 11797-125) | |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2026-02-10 |