| NPI | 1962193946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TX 67760) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 67760) |
| Enumeration Date | 2023-05-18 |
| Last Update Date | 2024-04-12 |