| NPI | 1134677016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 9506957-3502) |
| Additional Taxonomies | 104100000X Social Worker (Licence: UT 9506957-3502) |
| 101YM0800X Counselor, Mental Health (Licence: UT 9506957-3502) | |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2022-12-08 |