| NPI | 1831806157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 83750) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701016162) |
| Enumeration Date | 2022-11-07 |
| Last Update Date | 2026-05-16 |