| NPI | 1639441546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX LPC#5475) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX LMSW#12027) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TX R.N. # 235031) | |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2012-02-08 |