| NPI | 1124889704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 12554991-6011) |
| Additional Taxonomies | 104100000X Social Worker (Licence: UT 12554991-3503) |
| Enumeration Date | 2024-01-19 |
| Last Update Date | 2025-03-26 |