| NPI | 1073165049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 106793) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MS C3397) |
| 1041C0700X Social Worker Clinical (Licence: MS C3397) | |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2022-02-16 |