| NPI | 1538836747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 13737497-3502) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2025-04-09 |