| NPI | 1972977189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 61334) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: TX 61334) |
| 1041C0700X Social Worker, Clinical (Licence: TX 61334) | |
| Enumeration Date | 2015-11-25 |
| Last Update Date | 2024-01-24 |