| NPI | 1508254194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C9542) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 84460) |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2026-02-04 |