| NPI | 1548650153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 65631) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 171W00000X Contractor | |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2023-11-15 |