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 |