| NPI | 1780098186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 28213) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 28213) |
| 101YM0800X Counselor, Mental Health (Licence: TX 28213) | |
| 106H00000X Marriage & Family Therapist (Licence: TX 28213) | |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2014-06-13 |