| NPI | 1013692995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 87120) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: TX 73170) |
| 101YM0800X Counselor, Mental Health (Licence: WA 7005348) | |
| Enumeration Date | 2023-06-19 |
| Last Update Date | 2026-03-11 |