| NPI | 1932577897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 11295958-3502) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2022-06-01 |