| NPI | 1689343071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA PLC9579) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 101YP2500X Counselor, Professional (Licence: TX 99910) | |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2025-09-06 |