| NPI | 1063468791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 31082) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2018-08-27 |