| NPI | 1700924016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 08339) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: TX 4222) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2007-07-08 |