| NPI | 1114195039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 53594) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AL 1774C) |
| 101YM0800X Counselor Mental Health (Licence: AL 1774C) | |
| 101YP2500X Counselor Professional (Licence: AL 1774C) | |
| 102X00000X Poetry Therapist (Licence: AL 1774C) | |
| 106H00000X Marriage & Family Therapist (Licence: AL 1774C) | |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2021-11-24 |