| NPI | 1790213940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 8184) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 96434) |
| 101YP2500X Counselor, Professional (Licence: GA LPC014844) | |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2025-09-29 |