| NPI | 1275155970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 19359) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 56434) |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2020-05-21 |