| NPI | 1386468262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 5685) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 88257) |
| Enumeration Date | 2024-11-08 |
| Last Update Date | 2026-10-05 |