| NPI | 1275391989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TX 90699) |
| Enumeration Date | 2024-03-07 |
| Last Update Date | 2025-08-26 |