| NPI | 1902919251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 99060) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 18501) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2025-09-11 |