| NPI | 1003014408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 247200000X Technician, Other (Licence: TX 156149) |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2026-07-01 |