| NPI | 1770143695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 77547) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 10527-125) |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2026-04-06 |