| NPI | 1437035250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 100028) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO 2026003674) |
| Enumeration Date | 2025-08-15 |
| Last Update Date | 2026-02-17 |