| NPI | 1588948020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 9505228-3501) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 9505228-3501) |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2021-01-08 |