| NPI | 1154123438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CT 6655) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 113261) |
| Enumeration Date | 2025-03-26 |
| Last Update Date | 2025-03-26 |