| NPI | 1164849824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 11305655-3501) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2023-09-28 |