| NPI | 1144676016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 109113) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW89469) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2026-01-07 |