| NPI | 1245874874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 65530) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 65530) |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2024-04-02 |