| NPI | 1306183108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: LA 11842) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 11842) |
| 101YM0800X Counselor, Mental Health (Licence: LA 11842) | |
| 1041S0200X Social Worker, School (Licence: LA 11842) | |
| 171M00000X Case Manager/Care Coordinator (Licence: LA 11842) | |
| 251S00000X Community/Behavioral Health (Licence: TX 11842) | |
| Enumeration Date | 2013-01-14 |
| Last Update Date | 2025-06-02 |