| NPI | 1730468125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 63405) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID 3081619) |
| 101YP2500X Counselor, Professional (Licence: MO 2026022800) | |
| 101YP2500X Counselor, Professional (Licence: OR C8670) | |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2026-09-27 |