| NPI | 1104322742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 55790) |
| 101YM0800X Counselor, Mental Health (Licence: TX 55790) | |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2024-01-11 |