| NPI | 1083099139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 9832624-3501) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2021-12-10 |