| NPI | 1942946348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 74648) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 03993) |
| Enumeration Date | 2022-05-09 |
| Last Update Date | 2025-11-14 |