| NPI | 1689685570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 15888) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 15888TX) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2026-01-13 |