| NPI | 1053295592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 89714) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: TX 1549426) |
| 101YP2500X Counselor, Professional (Licence: TX 89714) | |
| Enumeration Date | 2025-08-05 |
| Last Update Date | 2025-08-05 |