| NPI | 1184194938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 65497) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 65497) |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2021-07-20 |