| NPI | 1801785506 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 18530) | 
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 22870) | 
| Enumeration Date | 2025-06-30 | 
| Last Update Date | 2025-06-30 |