| NPI | 1467564336 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 104100000X Social Worker (Licence: TX 28964) | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 18730) | 
| Enumeration Date | 2006-08-31 | 
| Last Update Date | 2025-09-11 |