| NPI | 1255998589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 11599470-3501) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2024-04-20 |