| NPI | 1023187861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 12406) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 9135) |
| 103T00000X Psychologist (Licence: TX 012406) | |
| 103T00000X Psychologist (Licence: TX 09135) | |
| 1041C0700X Social Worker, Clinical (Licence: TX 120406) | |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2022-06-15 |