| NPI | 1225489107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 104189) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor Mental Health | |
| 1041C0700X Social Worker Clinical (Licence: CA 98941) | |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2021-08-02 |