| NPI | 1295403764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 105396) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 105396) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 17417) | |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2026-06-09 |