| NPI | 1073820387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 7602454-6004) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 90191) |
| 101Y00000X Counselor (Licence: TX 90191) | |
| 101YP2500X Counselor, Professional (Licence: ID 5142) | |
| 104100000X Social Worker (Licence: UT 7602454-3503) | |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2023-07-17 |