| NPI | 1558010512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 66729) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 66729) |
| Enumeration Date | 2022-03-18 |
| Last Update Date | 2022-08-01 |