| NPI | 1851745772 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 81738) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 6709) | 
| 104100000X Social Worker (Licence: LA 12167) | |
| Enumeration Date | 2016-04-17 | 
| Last Update Date | 2024-10-14 |