| NPI | 1902614100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 100104) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC015211) |
| Enumeration Date | 2024-12-20 |
| Last Update Date | 2026-03-04 |