| NPI | 1841646577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 5699) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 69280) |
| Enumeration Date | 2016-05-12 |
| Last Update Date | 2026-08-20 |