| NPI | 1184975344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 69141) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 69141) |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2020-12-25 |