| NPI | 1063481380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 22205) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 22205) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2024-01-04 |