| NPI | 1780033977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 104100000X Social Worker |
| 124Q00000X Dental Hygienist (Licence: UT 265186-9920) | |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2022-06-08 |