| NPI | 1497243935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 7311820-3502) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: UT 7311820-3502) |
| 101YM0800X Counselor, Mental Health (Licence: UT 7311820-3502) | |
| 104100000X Social Worker (Licence: UT 7311820-3502) | |
| 106H00000X Marriage & Family Therapist (Licence: UT 7311820-3502) | |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2018-04-30 |