| NPI | 1013328103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 117243-3501) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LCSW-36133) |
| 104100000X Social Worker (Licence: ID lmsw-33744) | |
| 1041C0700X Social Worker, Clinical (Licence: ID LCSW-36133) | |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2022-02-23 |