| NPI | 1063990794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 76716) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 76716) |
| 101YM0800X Counselor, Mental Health (Licence: CO 0020220) | |
| 101YP2500X Counselor, Professional (Licence: CO 0020220) | |
| 101YS0200X Counselor, School | |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2026-07-22 |