| NPI | 1659795425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 9654442-6009) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2014-02-13 |
| Last Update Date | 2016-01-13 |