| NPI | 1487704094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 35485) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 12764) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2009-04-28 |