| NPI | 1023481058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 85622) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C7396) |
| 101YM0800X Counselor, Mental Health (Licence: LA 6372) | |
| 101YM0800X Counselor, Mental Health (Licence: MD LC14744) | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2025-04-15 |