| NPI | 1558515999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 22621) |
| Additional Taxonomies | 104100000X Social Worker |
| 106H00000X Marriage & Family Therapist (Licence: TX 22621) | |
| Enumeration Date | 2008-11-12 |
| Last Update Date | 2021-11-02 |