| NPI | 1487880381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 53959) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC P-LCSW) |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2021-06-07 |