| NPI | 1902551559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 02565) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 99935) |
| Enumeration Date | 2022-02-12 |
| Last Update Date | 2025-10-02 |