| NPI | 1275728354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 40288) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 18160) |
| 101YM0800X Counselor, Mental Health (Licence: TX 40288) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2024-02-28 |