| NPI | 1124377411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 36344) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 36344) |
| 101Y00000X Counselor (Licence: TX 36344) | |
| 104100000X Social Worker (Licence: TX 36344) | |
| Enumeration Date | 2012-09-03 |
| Last Update Date | 2023-05-03 |