| NPI | 1639822927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 83096) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 83096) |
| Enumeration Date | 2022-01-27 |
| Last Update Date | 2022-01-27 |