| NPI | 1740642735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 380179-3501) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: UT 3801793502) |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2020-10-05 |