| NPI | 1407438278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 8633) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 57120) |
| 101YP2500X Counselor, Professional (Licence: TX 57120) | |
| 1041C0700X Social Worker, Clinical (Licence: TX 57120) | |
| Enumeration Date | 2021-04-22 |
| Last Update Date | 2024-11-22 |