| NPI | 1902451065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 88078) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK 13009) |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2026-08-13 |