| NPI | 1346343654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 14136) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 21182) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2026-02-25 |