| NPI | 1154157204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701013870) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 80452) |
| Enumeration Date | 2024-09-13 |
| Last Update Date | 2026-06-17 |