| NPI | 1356865091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 86806) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional (Licence: NM CTB-2024-0787) | |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2025-01-13 |