| NPI | 1497134340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 79129) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E.2505406) |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2026-08-13 |