| NPI | 1679128508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 95649) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC61653468) |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2026-03-16 |