| NPI | 1861010258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 77932) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH70053836) |
| Enumeration Date | 2020-07-11 |
| Last Update Date | 2026-02-26 |