| NPI | 1831738764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 9573) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 9573) |
| 101YP2500X Counselor, Professional (Licence: TX 97208) | |
| 101YP2500X Counselor, Professional (Licence: AZ 18271) | |
| Enumeration Date | 2019-12-23 |
| Last Update Date | 2025-07-18 |