| NPI | 1700335015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 63208) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 58419) |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2022-08-19 |