| NPI | 1376084756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 57855) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 57855) |
| 1041C0700X Social Worker, Clinical (Licence: NE 2075) | |
| 1041C0700X Social Worker, Clinical (Licence: ID 41255) | |
| 101YM0800X Counselor, Mental Health (Licence: NE 2818) | |
| 1041C0700X Social Worker, Clinical (Licence: OR L12463) | |
| Enumeration Date | 2017-03-17 |
| Last Update Date | 2024-08-13 |