| NPI | 1164262838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 90250) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180017193) |
| 101YM0800X Counselor, Mental Health (Licence: OR C11202) | |
| Enumeration Date | 2024-05-29 |
| Last Update Date | 2026-03-18 |