| NPI | 1124587340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 61029) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 61029) |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2023-04-07 |