| NPI | 1619173598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: TX 02438) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 8773) |
| 101YP2500X Counselor, Professional (Licence: TX 8773) | |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2025-09-11 |