| NPI | 1235500851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 4978) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 4978) |
| 101YP2500X Counselor, Professional (Licence: TX 85626) | |
| 163W00000X Registered Nurse (Licence: LA RN133534) | |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2025-06-26 |