| NPI | 1215807623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0024211) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 100382) |
| Enumeration Date | 2025-11-10 |
| Last Update Date | 2026-07-16 |