| NPI | 1124181144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 06030) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 00038604261) |
| 101YM0800X Counselor, Mental Health (Licence: TX 5061) | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2019-02-28 |