| NPI | 1780430918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 63404) |
| Enumeration Date | 2024-04-29 |
| Last Update Date | 2024-10-16 |