| NPI | 1508472374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 54831) |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2024-10-16 |