| NPI | 1528243946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 50813) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 81079) |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2022-08-07 |