| NPI | 1689864407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 55017) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 149012276) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2023-05-26 |