| NPI | 1588262075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 62598) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 62597) |
| 1041C0700X Social Worker, Clinical | |
| 101YM0800X Counselor, Mental Health (Licence: TX 62598) | |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2024-08-25 |