| NPI | 1770206062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 87292) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL TPMC4456) |
| 101YM0800X Counselor, Mental Health (Licence: CO LPC.0021173) | |
| 101YM0800X Counselor, Mental Health (Licence: MO 2015002495) | |
| Enumeration Date | 2022-09-21 |
| Last Update Date | 2026-01-08 |