| NPI | 1972762151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 36892) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 36892) |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2018-11-12 |