| NPI | 1265718076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 378328-3501) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: UT 3783283501) |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2024-05-15 |