| NPI | 1932612009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: 258137) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 57174) |
| 101YM0800X Counselor, Mental Health (Licence: TX 57174) | |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2024-02-08 |