| NPI | 1285256800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 11275798-3501) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2025-05-30 |