| NPI | 1861023970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 109230) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NV 8649-C) |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2023-05-29 |