| NPI | 1750755864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 67690) |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical (Licence: GA CSW009138) | |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2024-11-12 |