| NPI | 1720614258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 11319891-3501) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 11319891-3501) |
| Enumeration Date | 2020-03-16 |
| Last Update Date | 2026-01-28 |