| NPI | 1417632233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC0022306) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 91793) |
| Enumeration Date | 2023-06-19 |
| Last Update Date | 2025-12-26 |