NPI | 1881830388 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 09697) |
Additional Taxonomies | 101Y00000X Counselor (Licence: TX 9697) |
101YP2500X Counselor, Professional (Licence: TX 9697) | |
Enumeration Date | 2009-01-05 |
Last Update Date | 2020-08-26 |