| NPI | 1548064157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: HI MHC-1131) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 100436) |
| Enumeration Date | 2025-04-02 |
| Last Update Date | 2026-06-30 |