| NPI | 1003031428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 140534-6004) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LSW24292) |
| 104100000X Social Worker (Licence: UT 140534-3503) | |
| 101Y00000X Counselor (Licence: ID LCPC-3657) | |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2024-09-02 |