| NPI | 1396375499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 66028) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 66028) |
| Enumeration Date | 2020-01-17 |
| Last Update Date | 2024-06-25 |