| NPI | 1154606929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 76605) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.007321) |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2026-01-08 |