| NPI | 1700571437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 69526) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 59526) |
| 101YM0800X Counselor, Mental Health (Licence: TX 69526) | |
| Enumeration Date | 2023-04-07 |
| Last Update Date | 2024-08-03 |