| NPI | 1699239913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: LA 15363) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TX 68648) |
| 101YM0800X Counselor Mental Health (Licence: LA 15363) | |
| 1041C0700X Social Worker Clinical (Licence: CA 114163) | |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2023-04-13 |