| NPI | 1659104503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0021449) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 83777) |
| Enumeration Date | 2024-08-24 |
| Last Update Date | 2024-12-10 |