| NPI | 1215177084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 19860 LCSW-S) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 12011) |
| Enumeration Date | 2009-03-05 |
| Last Update Date | 2009-03-05 |