| NPI | 1699326397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 77641) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ 22811) |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2026-03-17 |