| NPI | 1679145023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 77852) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL TPMC1256) |
| 101YP2500X Counselor, Professional (Licence: CA 21221) | |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2026-06-18 |