| NPI | 1780084699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 68720) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 56983) |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2015-06-30 |