| NPI | 1871810903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 64471) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 475) |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2025-10-02 |