| NPI | 1326676610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 76961) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK 7519) |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2025-12-16 |