| NPI | 1285129916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 64491) |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy (Licence: TX 64491) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2023-04-10 |