| NPI | 1790145878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 109080) |
| 1041C0700X Social Worker, Clinical (Licence: FL 26080) | |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2026-07-01 |