| NPI | 1275008757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 12022711-3501) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health (Licence: UT 12022711-3502) | |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2024-01-09 |