| NPI | 1609346311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 101545) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC11129) |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2026-02-06 |