| NPI | 1265864714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 35535) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: TX 35535) |
| 101YM0800X Counselor, Mental Health (Licence: TX 35535) | |
| 101Y00000X Counselor (Licence: TX 35535) | |
| 101YP2500X Counselor, Professional (Licence: TX 35535) | |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2016-03-31 |