| NPI | 1942920723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 89750) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 2274) |
| 101YM0800X Counselor, Mental Health (Licence: ID LPC-6363) | |
| 101YM0800X Counselor, Mental Health | |
| 101YM0800X Counselor, Mental Health (Licence: VT 068.0137005TELE) | |
| 101YM0800X Counselor, Mental Health (Licence: FL TPMC7001) | |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2026-05-25 |