| NPI | 1851625305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2006036529) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 80868) |
| 101YM0800X Counselor, Mental Health (Licence: TX 80868) | |
| 101YM0800X Counselor, Mental Health (Licence: MO 2006036529) | |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2025-11-08 |