| NPI | 1770236069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 85806) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 70018325) |
| Enumeration Date | 2022-01-27 |
| Last Update Date | 2026-03-15 |