| NPI | 1194209825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 11771987-3502) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 11771987-3502) |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2022-06-22 |