| NPI | 1043762271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH13770) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C6032) |
| 101YP2500X Counselor, Professional (Licence: TX 86982) | |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2025-05-10 |