| NPI | 1396068854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 355637-3501) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: UT 355637-3501) |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2018-12-14 |