| NPI | 1588481469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 111533) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 111533) |
| 101YM0800X Counselor, Mental Health (Licence: TX 111533) | |
| Enumeration Date | 2024-09-23 |
| Last Update Date | 2025-11-16 |