| NPI | 1306078902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 58726) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MS C6414) |
| 106H00000X Marriage & Family Therapist (Licence: MS M6414) | |
| 1041C0700X Social Worker, Clinical (Licence: CA 110071) | |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2023-08-01 |