| NPI | 1821544354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 74141) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 40651) |
| 103TH0100X Psychologist, Health Service (Licence: TX 40651) | |
| 171400000X Health & Wellness Coach | |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2025-06-06 |