| NPI | 1043649981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0023381) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 71543) |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2026-04-02 |