| NPI | 1134247828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 67199) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2022-04-14 |