| NPI | 1720131899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 5912235-3501 LCSW) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 5912235-3502) |
| 101Y00000X Counselor (Licence: UT 5912235-3501 LCSW) | |
| 104100000X Social Worker (Licence: UT 5912235-3501 LCSW) | |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2008-12-16 |