| NPI | 1477200236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 104825) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 6801C) |
| 1041C0700X Social Worker, Clinical (Licence: MN 36014) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 15697) | |
| Enumeration Date | 2022-03-02 |
| Last Update Date | 2026-04-21 |