| NPI | 1881029957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 9039380-3501) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 261QM0801X) |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2021-08-10 |