| NPI | 1982365367 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 91187)  | 
| Enumeration Date | 2022-01-06 | 
| Last Update Date | 2025-09-17 |