| NPI | 1528465507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 52920) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 52920) |
| 1041C0700X Social Worker, Clinical (Licence: TX 52920) | |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2018-05-16 |