| NPI | 1811872856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 91649) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 17801) |
| Enumeration Date | 2025-08-08 |
| Last Update Date | 2025-08-08 |