| NPI | 1356060040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: TX 62695) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 62695) |
| Enumeration Date | 2022-08-25 |
| Last Update Date | 2024-06-12 |