| NPI | 1801496443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 80639) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH61520798) |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2025-05-10 |