| NPI | 1013535152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 78119) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180.015316) |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2026-03-24 |