| NPI | 1972267136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 83271) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 03864) |
| Enumeration Date | 2021-10-25 |
| Last Update Date | 2025-02-18 |