| NPI | 1427865971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0022309) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 89088) |
| Enumeration Date | 2024-12-17 |
| Last Update Date | 2025-09-24 |