| NPI | 1639852023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: UT 13016636-6004) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 13016636-6004) |
| Enumeration Date | 2023-08-10 |
| Last Update Date | 2025-11-14 |