| NPI | 1770250722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 020366) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 80939) |
| Enumeration Date | 2021-08-26 |
| Last Update Date | 2026-02-17 |