| NPI | 1881361087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 105460) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 105460) |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2024-03-14 |