| NPI | 1205470366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 11508440-6009) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 11508440-6009) |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2023-12-07 |