| NPI | 1497934103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: UT 293249-6004) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 293249-6004) |
| 104100000X Social Worker (Licence: UT 293249-3503) | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2019-05-31 |