| NPI | 1518073311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 35359) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2016-07-13 |