| NPI | 1700368669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: TX 108840) |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical (Licence: TX 108840) | |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2023-02-12 |