| NPI | 1003586595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: TX 61809) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 15954) |
| 101YM0800X Counselor, Mental Health (Licence: TX 91346) | |
| Enumeration Date | 2021-09-15 |
| Last Update Date | 2024-08-23 |