| NPI | 1891318101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 77574) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0019666) |
| 101YP2500X Counselor, Professional (Licence: NM CTB-2022-0299) | |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2023-08-24 |