| NPI | 1134460041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 64179) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TN 8296) |
| 101YM0800X Counselor, Mental Health (Licence: FL MH26935) | |
| Enumeration Date | 2013-03-04 |
| Last Update Date | 2026-04-03 |