| NPI | 1780460196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH26913) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 101287) |
| Enumeration Date | 2023-09-01 |
| Last Update Date | 2026-06-30 |