| NPI | 1669043709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 85726) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TN 8630) |
| Enumeration Date | 2021-07-09 |
| Last Update Date | 2026-08-24 |