| NPI | 1770215477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 82674) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2026037024) |
| Enumeration Date | 2022-06-30 |
| Last Update Date | 2026-08-05 |