| NPI | 1689123242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 3875) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 96979) |
| 101YM0800X Counselor, Mental Health (Licence: AL 3875) | |
| 101YP2500X Counselor, Professional (Licence: TX 96979) | |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2026-05-07 |