| NPI | 1871997999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 59761) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK 59761) |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2022-08-09 |