| NPI | 1659807642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 7251) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 102295) |
| 101YP2500X Counselor, Professional (Licence: TX 102295) | |
| 101YP2500X Counselor, Professional (Licence: OK 7251) | |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2026-05-04 |