| NPI | 1669068946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 79487) |
| Enumeration Date | 2020-12-21 |
| Last Update Date | 2025-07-14 |