| NPI | 1952272254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 100417) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: MD 14815) |
| Enumeration Date | 2025-09-17 |
| Last Update Date | 2025-11-05 |