| NPI | 1366561896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TX 14921) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 12038) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2007-07-08 |