NPI | 1134575228 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 67918) |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
101Y00000X Counselor | |
1041C0700X Social Worker, Clinical (Licence: LA 14423) | |
251B00000X Case Management (Licence: TX 67918) | |
Enumeration Date | 2016-05-09 |
Last Update Date | 2025-05-22 |