NPI | 1598083263 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 7474516-6004) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 74745166009) |
Enumeration Date | 2010-05-05 |
Last Update Date | 2022-05-27 |