| NPI | 1598416562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 78901) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH70061487) |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2026-03-20 |