| NPI | 1043921760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 14209872-6004) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: UT 14209872-6004) |
| 1041C0700X Social Worker, Clinical (Licence: UT 14209872-6004) | |
| Enumeration Date | 2022-12-13 |
| Last Update Date | 2026-03-30 |