| NPI | 1518918911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 15558) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX S15558) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2014-03-05 |