| NPI | 1720443930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 71971) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 71971) |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2025-09-10 |