| NPI | 1982461554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 89185) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA TEL1034) |
| Enumeration Date | 2024-02-29 |
| Last Update Date | 2026-04-15 |