| NPI | 1073825402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 7675492-3501) |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2024-12-10 |