| NPI | 1790081610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 133387-3503) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: UT 133387-6004) |
| 104100000X Social Worker | |
| Enumeration Date | 2011-02-10 |
| Last Update Date | 2020-11-17 |