| NPI | 1790462570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 86641) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL TPMC4535) |
| Enumeration Date | 2023-07-03 |
| Last Update Date | 2026-06-02 |