| NPI | 1730298829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 17216) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 17216) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2022-11-29 |