| NPI | 1346628039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: UT 10394226-3501) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2024-07-30 |