| NPI | 1629789193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 88347) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL TPMC5143) |
| Enumeration Date | 2022-12-06 |
| Last Update Date | 2025-09-03 |