| NPI | 1992093223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: UT 136614-6004) |
| Additional Taxonomies | 104100000X Social Worker (Licence: UT 136614-3503) |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2011-07-20 |