| NPI | 1346695269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 68517) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2025-01-28 |