| NPI | 1952822645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 10893148-3501) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2020-09-03 |