| NPI | 1861897605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 10832910-3501) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2020-11-30 |