| NPI | 1497913917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NV CP5613) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 98714) |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2025-09-03 |