| NPI | 1134575228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 67918) |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical (Licence: LA 14423) | |
| 251S00000X | |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2024-05-14 |