| NPI | 1427520717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 10423690-3501) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 101YM0800X Counselor, Mental Health (Licence: UT 10423690-3501) | |
| Enumeration Date | 2018-12-26 |
| Last Update Date | 2024-03-05 |