| NPI | 1730826983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 12857872-6004) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC-24280) |
| 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0019217) | |
| Enumeration Date | 2022-05-18 |
| Last Update Date | 2026-04-29 |