| NPI | 1942063284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH28126) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0024380) |
| 101YM0800X Counselor, Mental Health (Licence: TX 103658) | |
| Enumeration Date | 2024-01-31 |
| Last Update Date | 2026-08-24 |