| NPI | 1851855043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 85112) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 6836) |
| 101YP2500X Counselor, Professional (Licence: LA 6836) | |
| 101YP2500X Counselor, Professional (Licence: TX 85112) | |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2026-05-14 |