| NPI | 1457086894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 104420) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 29576) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904017635) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 15677) | |
| 1041C0700X Social Worker, Clinical (Licence: DC LC200003134) | |
| Enumeration Date | 2022-07-20 |
| Last Update Date | 2025-08-12 |