| NPI | 1982375648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 54850) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 54850) |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2021-09-22 |