| NPI | 1669040747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 204756) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0717002634) |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2026-04-24 |