| NPI | 1760100994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX 90133) |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2025-03-24 |