| NPI | 1871340075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 93909) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA TEL1149) |
| 101YM0800X Counselor, Mental Health (Licence: FL TPMC6832) | |
| Enumeration Date | 2024-05-04 |
| Last Update Date | 2026-07-15 |