| NPI | 1295273035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 92921) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39004170A) |
| 101YM0800X Counselor, Mental Health (Licence: FL TPMC6184) | |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2026-06-03 |