| NPI | 1013414408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 9753119-3501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 101Y00000X Counselor | |
| 101Y00000X Counselor | |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2025-08-13 |