| NPI | 1457807315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 2017026573) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 37226) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2022-11-09 |