| NPI | 1639786635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 79682) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 79682) |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2025-05-13 |