| NPI | 1740816578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 2023048397) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 79940) |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2025-05-02 |