| NPI | 1235511189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 104081) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 10773) |
| 101YP2500X Counselor, Professional (Licence: SC 10773) | |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2021-04-12 |