| NPI | 1144681198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 69322) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2024-08-22 |