| NPI | 1982364865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 65933) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 65933) |
| 101YM0800X Counselor, Mental Health | |
| 104100000X Social Worker (Licence: TX 65933) | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2021-12-20 |
| Last Update Date | 2021-12-20 |