| NPI | 1407640816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 61959) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 61959) |
| 171M00000X Case Manager/Care Coordinator (Licence: TX 61959) | |
| Enumeration Date | 2025-04-09 |
| Last Update Date | 2025-07-25 |