| NPI | 1902036833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 56345) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 078080-1) |
| 101YM0800X Counselor, Mental Health (Licence: MA 118460) | |
| 101YM0800X Counselor, Mental Health (Licence: TX 56345) | |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2015-07-06 |