| NPI | 1164692323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 7181523-3501) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: UT 7181523-3502) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2020-05-04 |