| NPI | 1790254217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 77064) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701014786) |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2025-06-09 |