| NPI | 1497302517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 73803) |
| 1041C0700X Social Worker, Clinical (Licence: TX 73803) | |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2019-08-22 |