| NPI | 1508729609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 113929) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 113929) |
| 104100000X Social Worker (Licence: TX 113929) | |
| Enumeration Date | 2025-12-05 |
| Last Update Date | 2025-12-05 |