| NPI | 1285158915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 11325511-3501) |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041S0200X Social Worker, School | |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2022-05-18 |