| NPI | 1851745772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 81738) |
| Additional Taxonomies | 104100000X Social Worker (Licence: LA 12167) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2016-04-17 |
| Last Update Date | 2020-05-21 |