| NPI | 1114671195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: UT 13616561-6009) |
| Additional Taxonomies | 104100000X Social Worker (Licence: UT 13616561-3503) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-02-08 |
| Last Update Date | 2025-10-27 |