| NPI | 1780275883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN 7263) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 80521) |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2026-02-23 |