| NPI | 1134696776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: TX 66273) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: LA 8568) |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2019-01-29 |