| NPI | 1457004434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 106959) |
| Additional Taxonomies | 101YS0200X Counselor School (Licence: TX 106959) |
| Enumeration Date | 2022-01-31 |
| Last Update Date | 2025-04-03 |