| NPI | 1316598261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 78813) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC016214) |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2026-04-15 |